Laryngo-rhino-otologie最新文献

Insect venom allergies are the most common cause of anaphylaxis in German adults and can lead to life-threatening reactions. Allergen immunotherapy has been established for years as a safe and effective treatment option. An update on the diagnosis and treatment of hymenopteran venom allergies was recently published as a S2K guideline in Germany and the most important points for ENT specialists are summarized in this article.

Active middle ear implants, particularly the Vibrant Soundbridge (VSB), represent an established audiological treatment option for children with conductive, sensorineural, or mixed hearing loss when conventional hearing aids are insufficient or cannot be worn. In addition to functional improvements, the assessment of health-related quality of life (HRQoL) is gaining increasing importance. While extensive data on quality of life exist for adults with cochlear implants, only a few methodologically heterogeneous studies have examined HRQoL in children with active middle ear implants. This protocol outlines the methodology for conducting a scoping review based on the Joanna Briggs Institute (JBI) guidelines, aiming to identify, systematically collect, and analyze the international evidence. Empirical studies published since 2012 will be included without restrictions regarding study design or quality. The results aim to provide a comprehensive understanding of the multidimensional aspects of quality of life in affected children and to serve as a foundation for future research as well as the development of needs-based clinical and educational interventions.

Sensorineural hearing loss (SNH) is one of the most common forms of hearing loss. A special form of SNH is hidden hearing loss (HHL) with subjective normal hearing. Current research results indicate that these patients demonstrate a reduced wave I in the averaged signal of brainstem audiometry (ABR). Since the averaging technique is not susceptible to latency jitter and amplitude height variation, a single sweep analysis is required for a deeper insight in HHL.A total of 14 mice with significantly different calcium currents in the IHC at normal hearing thresholds were analysed. For the analysis in order to calculate four new parameters from the single sweeps in the time window of wave I. These parameters also served to describe a neural activation function (NAV).Looking at the wild type all new parameters differ significantly or highly significantly. With the transgenic mouse, there are only non-significant to significant differences. There is also a significant difference in the neural activity demonstrated in the resting EEG between the wild-type mouse and the mutant. There is a negative correlation between the wave amplitudes for the wild mouse - after a strong amplitude follows a weak amplitude and after weak amplitude follows a strong amplitude.Using new parameters based on single sweeps, surprising results are obtained. Obviously the function of the IHC correlates more strongly with the new parameters than it does with the average amplitude of wave I. The new parameters appear to be excellently suited for the diagnosis of hearing disorders even when hearing thresholds are still according to norm values.

In order to assess the effectiveness of adeno(tonsillo)tomy in relation to obstructive sleep apnea syndrome, OSAS-specific symptoms were prospectively recorded in this study.The total collective consisted of n = 111 children (3-6 years, ♂ 55% ♀ 45%) who underwent adenotomy (77%) or adenotonsillotomy (23%) at ENT University Hospital Ulm. OSAS-specific symptoms were assessed using a questionnaire (day of surgery, follow-up: 3 months) and results were presented using box-whisker plots for the overall collective and the AT and ATT surgical techniques (significance level α=5%). Bar charts were used to illustrate the pre- and postoperative risk stratification.On average, the postoperative Brouillette score (-3.41 AT: -3.33 ATT: -3.68) was significantly lower for the overall collective and the individual surgical techniques than preoperatively (-0.22 AT: -0.49 ATT: 0.7). The average OSA-18 score was significantly lower postoperatively for the overall collective and the individual surgical techniques (33.2 AT: 33.5 ATT: 31.9) than preoperatively (61.2 AT: 59.1 ATT: 68.6).In the presence of obstructive sleep apnea syndrome, AT and ATT surgical techniques are effective treatment methods for reducing symptoms.

Hearing means social participation. The prevalence of hearing loss increases with age. The aim of this project was to assess the current hearing situation in nursing homes and to identify problems in the provision of care.Pure tone and speech audiograms were measured in 74 residents in four different nursing homes in the greater Hanover area and questionnaires on the hearing aid care situation were carried out with 97 residents.Of all audiograms measured, 75% showed a hearing loss requiring hearing aids, which was often inadequately cared for. Residents often stated that they could hear well subjectively, but at the same time mentioned many situations in which they would have liked to hear better. Existing hearing aids were often worn not regularly or even not at all. Those who are affected by hearing loss wished for help in using their devices.In an ageing society, a growing burden on care facilities is to be expected. Hearing loss is an omnipresent issue here, for which more awareness must be created in order to ensure adequate hearing care. Furthermore, hearing loss means challenged communication and therefore can deteriorate the care of patients.